Actively Recruiting

Phase 1
Age: 18Years +
All Genders
NCT06644755

First-in-Human Trial of DS-2243a in Participants With Advanced Solid Tumors

Led by Daiichi Sankyo · Updated on 2025-07-24

150

Participants Needed

7

Research Sites

211 weeks

Total Duration

On this page

AI-Summary

What this Trial Is About

This 2-part study will evaluate safety, tolerability, and clinical efficacy of DS-2243a as a treatment for participants with advanced solid tumors.

CONDITIONS

Official Title

First-in-Human Trial of DS-2243a in Participants With Advanced Solid Tumors

Who Can Participate

Age: 18Years +
All Genders

Eligibility Criteria

Eligible

You may qualify if you...

  • Signed and dated main informed consent form
  • Adults 18 years or older
  • Diagnosed with advanced (metastatic or unresectable) synovial sarcoma, myxoid/round cell liposarcoma, non-small cell lung cancer (adenocarcinoma or squamous cell), or urothelial carcinoma
  • Disease relapsed, refractory, or intolerant to appropriate standard therapies
  • Positive for HLA-A*02:01, 02:02, 02:03, 02:04, 02:05, 02:06, 02:09, 02:10, or 02:11
  • Measurable disease based on RECIST v1.1 using CT or MRI
  • Willing and able to provide adequate pre-treatment or archival tumor tissue
  • Eastern Cooperative Oncology Group Performance Status score of 0 or 1 at screening
  • Meets baseline laboratory values within 14 days before starting treatment: ALT and AST ≤3× ULN without liver metastasis or ≤5× ULN with liver metastasis, total bilirubin ≤1.5× ULN (or ≤3× ULN for Gilbert's syndrome), absolute neutrophil count ≥1.5 × 10^9/L, platelet count ≥100 × 10^9/L, hemoglobin ≥8 g/dL, creatinine clearance ≥45 mL/min
  • Female participants of childbearing potential must have a negative pregnancy test, agree to use highly effective contraception, not breastfeed during treatment and for 120 days after last dose, and agree to not donate eggs during and after treatment
  • Male participants capable of producing sperm must agree to use contraception during treatment and for 120 days after last dose and avoid sperm donation unless azoospermic
Not Eligible

You will not qualify if you...

  • Prior therapy targeting NY-ESO-1
  • Inadequate washout from prior treatments: radiation therapy <4 weeks (or <2 weeks if palliative without abdominal/pelvic radiation), chemotherapy/antibody/immunotherapy <4 weeks, small molecules <2 weeks or 5 half-lives
  • Known symptomatic central nervous system metastases, leptomeningeal disease, or spinal cord compression (neurologically unstable)
  • Uncontrolled or significant cardiovascular disease including recent myocardial infarction, uncontrolled angina, severe congestive heart failure, low left ventricular ejection fraction, or prolonged QTc interval
  • Chronic steroid or immunosuppressive treatment exceeding specified doses
  • Active other primary malignancies except certain treated cancers without recurrence for 3 years
  • Unresolved toxicities from prior cancer treatments except stable Grade 2 toxicities under management
  • Known hypersensitivity to biological agents
  • History of or active autoimmune disease except certain controlled conditions
  • HIV infection (with specific exceptions in Part 2)
  • Active or uncontrolled hepatitis B or C infection except controlled cases in Part 2

AI-Screening

AI-Powered Screening

Complete this quick 3-step screening to check your eligibility

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Trial Site Locations

Total: 7 locations

1

Dana-Farber Cancer Institute

Boston, Massachusetts, United States, 02215

Actively Recruiting

2

David H. Koch Center for Cancer Care at Memorial Sloan Kettering Cancer Center

New York, New York, United States, 10065

Actively Recruiting

3

Sarah Cannon Research Institute

Nashville, Tennessee, United States, 37203

Actively Recruiting

4

UZ Leuven Europe Leuven

Leuven, Belgium, 3000

Actively Recruiting

5

Centre Leon Berard

Lyon, France, 6900

Actively Recruiting

6

Nederlands Kanker Instituut - Antoni van Leeuwenhoek Ziekenhuis (NKI-AVL)

Amsterdam, Netherlands

Actively Recruiting

7

Seoul National University Hospital

Seoul, South Korea

Actively Recruiting

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Research Team

C

Contact for Trial Information

CONTACT

How is the study designed?

Study Type

INTERVENTIONAL

Masking

NONE

Allocation

NA

Model

SEQUENTIAL

Primary Purpose

TREATMENT

Number of Arms

5

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First-in-Human Trial of DS-2243a in Participants With Advanced Solid Tumors | DecenTrialz